[Postoperative parenteral nutrition of patients with an extensive carcinoma of the larynx (author's transl)].
A comparative clinical evaluation of healing operative wounds and classification of postoperative complications in two analogous groups of patients with an extensive carcinoma of the larynx after radical operations were performed. In group 1 (82 patients) the postoperative nutrition was carried out through the nasoesophageal tube. In group 2 (153 patients) the nutrition was carried out parenterally through a catheter inserted into the subclavian vein with solutions of glucose, fat emulsions, protein hydrolysates, and amino-acidic mixtures. In group 1 healing by the first intention was observed in 51% of patients, healing by the second one in 13%. Stable defects of the pharynx occurred in 26% of patients. Erosive hemorrhage arose in 5%. In group 2 the primary healing was achieved in 77% of patients, the secondary one in 11%. Stable pharyngeal defects appeared in 12% of patients. Erosive hemorrhage occurred only in 1.5% of patients. The duration of stationary treatment of patients by using the parenteral nutrition decreased by 16 days on the average.
D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy; D037981:Neck Dissection; D010288:Parenteral Nutrition; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D014945:Wound Healing
Parenterale Ernährung der Patienten mit einem ausgedehnten Larynxkarzinom in der Nachoperationsperiode.